Volunteering Application

Please complete the form below and submit.





CRIMINAL BACKGROUND CHECK:

A criminal background check will be completed on all volunteers. This information will not necessarily disqualify you from consideration for voluntary membership in Halifax Health - Auxiliary.

Have you ever been convicted of, entered a plea of guilty or no contest to, or had, adjudication withheld or entered into a pretrial intervention agreement with respect to any criminal offense?






EMERGENCY MEDICAL INFORMATION: